Individual
DANIELLE NICOLAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3470 NW 82ND AVE STE 111, DORAL, FL 33122-1026
(786) 272-2500
(786) 272-2550
Mailing address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS13471
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO4275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QTLW6
BC/BS
FL
Enumeration date
06/30/2014
Last updated
01/28/2025
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